Individual
TAMMY LYNN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1707 LINWOOD DR STE E, PARAGOULD, AR 72450-5365
(870) 586-5095
Mailing address
49 GREENE 561 RD, MARMADUKE, AR 72443
(870) 573-0484
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA3991
AR
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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